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Stakeholder consultation practices within healthcare infrastructure planning

机译：医疗基础设施规划中的利益相关方咨询实践

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Purpose - With the advent of the Darzi review in 2008, and more recently the White Paper "Equity and Excellence: Liberating the NHS" (2010), the NHS in England is being redesigned to provide high quality, person-centred services with improved capacity and performance. In this change oriented scenario, stakeholder consultation has a critical role to play given the widespread advocacy in government policy and healthcare literature. In order to support informed decision making, the purpose of this paper is to: explore healthcare infrastructure planning through various approaches to stakeholder consultation within English Primary Care Trusts (PCTs); and develop a conceptual approach to strategic asset management (SAM) based on the findings of stakeholder consultation and engagement exercises. Design/methodology/approach - A multi-method triangulation approach including action research has been adopted to evaluate current stakeholder consultation practices with a local PCT and to explore their approach to healthcare infrastructure planning through: a literature review of stakeholder engagement and theory; evaluation of a local consultation exercise; and a web based document review of consultation practices within 149 English PCTs. Findings - PCT estate managers and healthcare planners have to operate within constantly changing dynamic healthcare environments and need to reduce uncertainty and indecision that often surrounds the debate of reconfiguration of healthcare facilities and services. Consultations by the PCTs vary in: the level of detail provided to the public; sample sizes; detail and transparency of the consultation; distribution and analyses of the consultation; and techniques and approaches. Practical implications - The findings of this study can be used by healthcare policy makers to: inform how clinical commissioning groups (CCGs) could be better involved during patient and public engagement; and determine practical ways of putting patients at the heart of General Practitioners (GP) commissioning. Originality/value - The research identifies gaps within current stakeholder consultation practices in English PCTs and develops a conceptual approach to SAM that accounts for stakeholder consultation; decision making levels within healthcare infrastructure planning within a wider competency based organisational view, which currently does not exist.
机译：目的-随着2008年Darzi审查的出现以及最近的白皮书《平等与卓越：解放NHS》（2010年），英格兰的NHS正在重新设计，以提供高质量，以人为本的服务，并提高能力和性能。在这种面向变化的情况下，鉴于政府政策和医疗保健文献的广泛倡导，利益相关者的咨询起着至关重要的作用。为了支持明智的决策，本文的目的是：通过英国初级保健信托（PCT）中通过各种方法进行利益相关方咨询来探索医疗基础设施规划；并根据利益相关者咨询和参与活动的发现，开发出战略资产管理（SAM）的概念方法。设计/方法/方法-已采用包括行动研究在内的多方法三角测量方法来评估与当地PCT的当前利益相关者咨询实践，并通过以下方式探索其在医疗基础设施规划中的方法：对利益相关者参与和理论的文献综述；评估当地咨询活动；以及149个英文PCT中基于Web的咨询实践文件审查。调查结果-PCT财产管理人员和医疗保健计划者必须在不断变化的动态医疗保​​健环境中运作，并且需要减少不确定性和犹豫不决的情况，而不确定性和犹豫不决通常围绕医疗保健设施和服务重新配置的争论。 PCT的磋商在以下方面有所不同：向公众提供的详细程度；样本量；磋商的细节和透明度；咨询的分布和分析；以及技术和方法。实际意义-这项研究的结果可被医疗保健政策制定者用来：告知临床委托小组（CCG）如何在患者和公众参与期间更好地参与其中；并确定将患者置于全科医生（GP）调试中心的实用方法。原创性/价值-研究确定了当前在英语PCT中的利益相关者咨询实践中的差距，并为SAM开发了一种概念方法，以解决利益相关者咨询问题；在基于能力的更广泛组织视图中，医疗基础设施规划中的决策水平目前尚不存在。

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